EXAM 3 ATI MED SURG FINAL EXAM 2023 QUESTION AND ANSWERS GRADED A

1. A nurse is preparing to administer potassium chloride (KCL). The provider prescribes potassium chloride (KCL) 20 mEq suspension PO daily. The bottle is labeled KCL elixir, 10 mEq/mL. Which of the following should the nurse administer? A) 1 mL B) 1.5 mL C) 2 mL D) 2.5 mL - C) 2 mL 2. A nurse is assessing a client who receives chlorothiazide sodium (Diuril). Which of the following is a sign of hypokalemia? A) Shallow respirations B) Hypertensive crisis C) Diarrhea D) Hyperflexion - A) Shallow respirations 3. A nurse is making a home visit to a client who receives diuretics daily for heart failure. Which of the following signs would the client manifest with hypokalemia? A) Pitting edema B) Fatigue C) Dyspnea D) Oliguria - B) Fatigue 4. A nurse is reinforcing discharge teaching with a client recently diagnosed with heart failure. Which of the following statements should the nurse include in the teaching? A) "Exercise at least three times per week." B) "Take diuretics in the early morning and before bedtime." C) "Notify the provider of a weight gain of 1 lb in 24 hr." D) "Count pulse for 30 seconds and multiply by 2 before taking digoxin." - A) "Exercise at least three times per week." 5. A nurse is providing discharge instructions to a client who has congestive heart failure. Which of the following statements by the client indicates to the nurse that the teaching was effective? A) "I will do all of my activities in the morning and rest every afternoon." B) "I should attempt to exercise every day of the week." C) "I plan to slow down if I am tired the day after exercising." D) "I will take my diuretic before sleep and drink fluids during the day." - C) "I plan to slow down if I am tired the day after exercising."6. A nurse is preparing to administer potassium chloride (KCL). The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 5.2 mEq/L. Which of the following actions should the nurse take? A) Give the ordered KCL as prescribed B) Omit the KCL dose and document it was not given. C) Call the prescribing physician and inform her of the client's serum potassium level results. D) Call the lab to verify the client's results. - C) Call the prescribing physician and inform her of the client's serum potassium level results. 7. A nurse is teaching a client who takes furosemide (Lasix) and has a serum potassium level of 3.2 mEq/L. Which of the following instructions should the nurse include? A) Bananas B) Carrots C) Cheddar cheese D) Baked chicken - A) Bananas 8. A nurse is caring for an infant who has congestive heart failure (CHF) secondary to a ventricular septal defect (VSD) and was brought to the clinic by the parent with a report of poor feeding. After instructing the parent about nasogastric (NG) tube feedings, the nurse evaluates that teaching has been effective when the parent states, "I will A) give every other feeding by the NG tube." B) nurse my baby for 20 minutes then give the rest by NG tube." C) administer all of my baby's feedings through the NG tube." D) let my baby suck until tired." - B) nurse my baby for 20 minutes then give the rest by NG tube." 9. A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize is at risk for hypokalemia? A) The client who has a tracheostomy tube attached to humidified oxygen. B) The client who has a Foley catheter to gravity. C) The client who has a chest tube to water seal. D) The client who has an NG tube to suction. - D) The client who has an NG tube to suction. 10.A nurse is caring for a client who receives furosemide (Lasix) to treat heart failure. Which of the following laboratory values should the nurse be sure to monitor specifically for this client? A) Potassium B) Albumin C) Chloride D) Bicarbonate - A) Potassium